Intimate partner violence and other partner-related factors

Correlates of sexually transmissible infections and risky sexual behaviours among young adult African American women

Puja Seth, Jerris L. Raiford, Lashun S. Robinson, Gina M. Wingood, Ralph DiClemente

Research output: Contribution to journalArticle

Abstract

Background: Intimate partner violence and other partner-related factors have been associated with acquiring sexually transmissible infections (STIs) and engaging in risky sexual behaviour. The present study examined partner-related risk factors for STIs and risky sexual behaviours among an urban sample of African American women. Methods: African American women, between 18 and 29 years (n = 848), participated in the study at baseline. Participants completed a 40-min Audio Computer Assisted Survey Interview assessing sociodemographics, partner-related factors and HIV/STI-associated sexual risk behaviours. Subsequently, participants provided two vaginal swab specimens for STIs. Results: The findings indicated that risky sexual behaviours and STIs were prevalent in this sample: 35.6% reported a risky sexual partner, 65.4% reported inconsistent condom use and 17% tested positive for a laboratory-confirmed STI. Women reporting a history of intimate partner violence were more likely to report risky sexual partners (adjusted odds ratio (AOR)=2.00; 95% confidence interval (CI)=1.52.8), inconsistent condom use (AOR=1.60; 95% CI=1.12.3) and test positive for an STI (AOR=1.46; 95% CI=0.992.1). Women reporting high partner-related barriers to condom use were more likely to report risky sexual partners (AOR=1.69; 95% CI=1.22.3), inconsistent condom use (AOR=2.13; 95% CI=1.53.0) and test positive for an STI (AOR=1.98; 95% CI=1.33.0). Finally, women with older partners were more likely to report risky sexual partners (AOR=1.53; 95% CI=1.12.1) and test positive for an STI (AOR=1.46; 95% CI=1.02.2). Conclusions: This study examines partner-related risk factors for STIs and risky sexual behaviours among African American women. These findings underscore the need for combined intimate partner violence and HIV/STI prevention programs for this disproportionately affected high-risk group.

Original languageEnglish (US)
Pages (from-to)25-30
Number of pages6
JournalSexual Health
Volume7
Issue number1
DOIs
StatePublished - Feb 26 2010

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Sexual Behavior
African Americans
Young Adult
Odds Ratio
Confidence Intervals
Infection
Sexual Partners
Condoms
Intimate Partner Violence
HIV
Risk-Taking
Interviews

Keywords

  • Intimate partner violence
  • Sex
  • Sexually transmissible infections

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Intimate partner violence and other partner-related factors : Correlates of sexually transmissible infections and risky sexual behaviours among young adult African American women. / Seth, Puja; Raiford, Jerris L.; Robinson, Lashun S.; Wingood, Gina M.; DiClemente, Ralph.

In: Sexual Health, Vol. 7, No. 1, 26.02.2010, p. 25-30.

Research output: Contribution to journalArticle

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abstract = "Background: Intimate partner violence and other partner-related factors have been associated with acquiring sexually transmissible infections (STIs) and engaging in risky sexual behaviour. The present study examined partner-related risk factors for STIs and risky sexual behaviours among an urban sample of African American women. Methods: African American women, between 18 and 29 years (n = 848), participated in the study at baseline. Participants completed a 40-min Audio Computer Assisted Survey Interview assessing sociodemographics, partner-related factors and HIV/STI-associated sexual risk behaviours. Subsequently, participants provided two vaginal swab specimens for STIs. Results: The findings indicated that risky sexual behaviours and STIs were prevalent in this sample: 35.6{\%} reported a risky sexual partner, 65.4{\%} reported inconsistent condom use and 17{\%} tested positive for a laboratory-confirmed STI. Women reporting a history of intimate partner violence were more likely to report risky sexual partners (adjusted odds ratio (AOR)=2.00; 95{\%} confidence interval (CI)=1.52.8), inconsistent condom use (AOR=1.60; 95{\%} CI=1.12.3) and test positive for an STI (AOR=1.46; 95{\%} CI=0.992.1). Women reporting high partner-related barriers to condom use were more likely to report risky sexual partners (AOR=1.69; 95{\%} CI=1.22.3), inconsistent condom use (AOR=2.13; 95{\%} CI=1.53.0) and test positive for an STI (AOR=1.98; 95{\%} CI=1.33.0). Finally, women with older partners were more likely to report risky sexual partners (AOR=1.53; 95{\%} CI=1.12.1) and test positive for an STI (AOR=1.46; 95{\%} CI=1.02.2). Conclusions: This study examines partner-related risk factors for STIs and risky sexual behaviours among African American women. These findings underscore the need for combined intimate partner violence and HIV/STI prevention programs for this disproportionately affected high-risk group.",
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